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	<title>Symptom Advice .com &#187; duluth minn</title>
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		<title>Tick expert shares Lyme disease views</title>
		<link>http://symptomadvice.com/tick-expert-shares-lyme-disease-views/</link>
		<comments>http://symptomadvice.com/tick-expert-shares-lyme-disease-views/#comments</comments>
		<pubDate>Tue, 22 Mar 2011 15:00:08 +0000</pubDate>
		<dc:creator>Symptom Advice</dc:creator>
				<category><![CDATA[lyme symptoms]]></category>
		<category><![CDATA[bacteria]]></category>
		<category><![CDATA[blood work]]></category>
		<category><![CDATA[duluth minn]]></category>
		<category><![CDATA[infectious disease society]]></category>
		<category><![CDATA[lyme disease]]></category>

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		<description><![CDATA[Current methods used to diagnose &#097;&#110;&#100; treat Lyme disease preventsome patients from receiving &#110;&#101;&#099;&#101;&#115;&#115;&#097;&#114;&#121; treatment, said onetick-borne disease researcher. Tom Grier, from Duluth, Minn., &#097; biology &#097;&#110;&#100; chemistry graduatefrom &#116;&#104;&#101; University &#111;&#102; Minnesota, spoke Saturday morning &#097;&#116; theWinona Public Library &#097;&#098;&#111;&#117;&#116; methods used to test &#102;&#111;&#114; &#116;&#104;&#101; diseaseand treatment guidelines set by &#116;&#104;&#101; Centers &#102;&#111;&#114; [...]]]></description>
			<content:encoded><![CDATA[<p></p><p><img src="http://symptomadvice.com/wp-content/uploads/2011/03/1300806008-90.jpg" style="clear:both;clear:both;margin:0 15px 15px 0" />
<p>Current methods used to diagnose &#097;&#110;&#100; treat Lyme disease preventsome patients from receiving &#110;&#101;&#099;&#101;&#115;&#115;&#097;&#114;&#121; treatment, said onetick-borne disease researcher.</p>
<p>Tom Grier, from Duluth, Minn., &#097; biology &#097;&#110;&#100; chemistry graduatefrom &#116;&#104;&#101; University &#111;&#102; Minnesota, spoke Saturday morning &#097;&#116; theWinona Public Library &#097;&#098;&#111;&#117;&#116; methods used to test &#102;&#111;&#114; &#116;&#104;&#101; diseaseand treatment guidelines set by &#116;&#104;&#101; Centers &#102;&#111;&#114; Disease Control andPrevention &#097;&#110;&#100; &#116;&#104;&#101; Infectious Disease Society &#111;&#102; America.</p>
<p>&#8220;Everything is in place to create &#097; disease that&#8217;s hard totreat,&#8221; Grier said.</p>
<p>Lyme patients &#115;&#104;&#111;&#117;&#108;&#100; &#098;&#101; diagnosed &#097;&#110;&#100; receive treatment based onsymptoms, not on blood-work results, Grier said.</p>
<p>&#8220;We&#8217;d &#098;&#101; &#098;&#101;&#116;&#116;&#101;&#114; &#111;&#102;&#102; if &#116;&#104;&#101;&#114;&#101; &#104;&#097;&#100; never &#098;&#101;&#101;&#110; &#097; test,&#8221; hesaid.</p>
<p>The blood tests used are problematic because &#116;&#104;&#101;&#121; detectantibodies produced by &#097; body&#8217;s immune &#115;&#121;&#115;&#116;&#101;&#109;, not &#116;&#104;&#101; bacteriathat causes &#116;&#104;&#101; disease, Grier said. &#119;&#105;&#116;&#104;&#105;&#110; &#116;&#104;&#101; &#102;&#105;&#114;&#115;&#116; four to sixweeks &#111;&#102; infection, patients won&#8217;t test positive &#102;&#111;&#114; &#116;&#104;&#101; diseasebecause not &#101;&#110;&#111;&#117;&#103;&#104; antibodies are produced, &#104;&#101; said.</p>
<p>As &#116;&#104;&#101; disease progresses, Grier said, bacteria moves out &#111;&#102; thebloodstream &#097;&#110;&#100; into &#097; person&#8217;s tissues. Antibodies &#099;&#097;&#110; &#110;&#111; longerbe detected &#097;&#116; that point, rendering &#116;&#104;&#101; tests useless, hesaid.</p>
<p>Patients would &#098;&#101; &#098;&#101;&#116;&#116;&#101;&#114; served if physicians focused on Lymesymptoms &#097;&#110;&#100; &#100;&#105;&#100; &#097;&#119;&#097;&#121; with blood work, Grier said.</p>
<p>For &#109;&#097;&#110;&#121; Grier&#8217;s more than 25 audience members, &#104;&#105;&#115; presentationhit home.</p>
<p>Doctors diagnosed Sharon Kirkpatrick with &#116;&#104;&#101; disease 20 yearsago. &#104;&#101;&#114; husband &#119;&#097;&#115; infected 14 years &#108;&#097;&#116;&#101;&#114;. &#098;&#111;&#116;&#104; &#104;&#097;&#118;&#101; battled thedisease since &#116;&#104;&#101;&#121; were diagnosed, &#115;&#104;&#101; said.</p>
<p>IDSA guidelines &#110;&#111;&#119; prevent Kirkpatrick &#097;&#110;&#100; &#104;&#101;&#114; husband fromreceiving treatment &#097;&#116; Winona Health specifically &#102;&#111;&#114; Lyme disease.Previously, &#116;&#104;&#101;&#121; said they&#8217;d &#098;&#101;&#101;&#110; receiving antibiotics in &#116;&#104;&#101; pastto control &#116;&#104;&#101; disease.</p>
<p>&#8220;I&#8217;m &#106;&#117;&#115;&#116; &#103;&#101;&#116;&#116;&#105;&#110;&#103; sicker,&#8221; Kirkpatrick said.</p>
<p>Physicians &#097;&#116; Winona Health voted in October to not treatpatients who &#109;&#097;&#121; &#104;&#097;&#118;&#101; symptoms similar to Lyme disease, but don&#8217;tmeet &#116;&#104;&#101; criteria, as if &#116;&#104;&#101;&#121; &#104;&#097;&#118;&#101; &#116;&#104;&#101; disease. Winona Health optedto treat patients with &#116;&#104;&#101; disease only if &#116;&#104;&#101;&#121; meet &#116;&#104;&#101; guidelinesset by &#116;&#104;&#101; Centers &#102;&#111;&#114; Disease Control &#097;&#110;&#100; Prevention &#097;&#110;&#100; theInfectious Disease Society &#111;&#102; America, &#097;&#099;&#099;&#111;&#114;&#100;&#105;&#110;&#103; to &#097;&#110; internalmemo obtained by &#116;&#104;&#101; Daily News. &#109;&#097;&#110;&#121; other regional health centersalso follow &#116;&#104;&#101; same guidelines.</p>
<p>The health experts say Lyme disease patients &#115;&#104;&#111;&#117;&#108;&#100; &#098;&#101; treatedwith antibiotics &#102;&#111;&#114; &#097;&#098;&#111;&#117;&#116; &#097; month &#097;&#110;&#100; that longer treatments putpatients &#097;&#116; risk. In April, &#116;&#104;&#101; IDSA released results &#111;&#102; afour-year review into &#105;&#116;&#115; own standards &#102;&#111;&#114; treatment that showextended treatment with antibiotics &#099;&#097;&#110; &#099;&#097;&#117;&#115;&#101; &#100;&#097;&#110;&#103;&#101;&#114;&#111;&#117;&#115; healthcomplications, like blood infection, diarrhea &#097;&#110;&#100; other drugreactions.</p>
<p>But &#115;&#111;&#109;&#101; Lyme disease patients say &#116;&#104;&#101; affliction haslong-lasting effects. &#116;&#104;&#101;&#121; want &#116;&#104;&#101; health groups to adopt abroader definition &#111;&#102; &#116;&#104;&#101; disease that recognizes antibiotics as anacceptable treatment, even years &#097;&#102;&#116;&#101;&#114; &#097;&#110; initial diagnosis.Opponents say &#116;&#104;&#101; guidelines ignore &#116;&#104;&#101; complexity &#111;&#102; tick-borneillnesses &#097;&#110;&#100; discount &#097; number &#111;&#102; people who suffer ongoingsymptoms.</p>
<p>Winona Health issued &#097; one-paragraph e-mail response in Decemberto &#105;&#116;&#115; adopted guidelines:</p>
<p>&#8220;Winona Health considers &#116;&#104;&#101; diagnosis &#097;&#110;&#100; treatment &#111;&#102; LymeDisease &#097; &#115;&#101;&#114;&#105;&#111;&#117;&#115; &#097;&#110;&#100; important topic,&#8221; &#116;&#104;&#101; statement read. &#8220;As wehave done with &#097; number &#111;&#102; medical conditions, we supportevidence-based research &#097;&#110;&#100; protocols which are &#116;&#104;&#101; establishedstandard &#111;&#102; care.&#8221;</p>
<p>Kirkpatrick said &#115;&#104;&#101; believes &#116;&#104;&#101; disease &#104;&#097;&#115; attacked thetissue in &#104;&#101;&#114; husband&#8217;s brain &#097;&#110;&#100; caused severe dementia.</p>
<p>&#8220;He only &#107;&#110;&#111;&#119;&#115; &#104;&#101; &#119;&#097;&#115; once &#097; teacher because I tell &#104;&#105;&#109; &#104;&#101; &#119;&#097;&#115;,&#8221;she said.</p>
<p>Kirkpatrick said &#115;&#104;&#101; is fearful that &#119;&#105;&#116;&#104;&#111;&#117;&#116; antibiotics, herdisease will progress in &#097; fashion similar to &#104;&#101;&#114; husband&#8217;sillness.</p>
<p>&#8220;There&#8217;s &#097;&#110; agenda out &#116;&#104;&#101;&#114;&#101; to prevent antibiotics from beingoverused,&#8221; Grier said, &#8220;and it&#8217;s affecting &#116;&#104;&#101; treatment ofpatients.&#8221;</p></p>
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